Metastatic Breast Cancer
Conditions
Brief summary
The purpose of this study is to determine the response rate to a gemcitabine-paclitaxel combination administered on a 3-weekly schedule in Chinese patients with unresectable, locally recurrent breast cancer or metastatic breast cancer.
Interventions
1250 mg/m2, intravenous (IV), day 1 and day 8 every 21 days until disease progression
175 mg/m2, intravenous (IV), every 21 days until disease progression
Sponsors
Study design
Eligibility
Inclusion criteria
* Female patients of Chinese origin with histologically or cytologically proven diagnosis of breast cancer. * Unresectable, locally recurrent breast cancer or stage IV disease. * Have at least one measurable lesion as defined by Response Evaluation Criteria In Solid Tumors (RECIST) criteria. * Performance Status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Scale * Treatment with an anthracycline-based chemotherapy regimen in the adjuvant/neoadjuvant setting with subsequent disease relapse.
Exclusion criteria
* Prior chemotherapy for unresectable, locally advanced breast cancer or metastatic disease. * Concurrent administration of any other tumor therapy, including cytotoxic chemotherapy, hormonal therapy, and immunotherapy. * Known or suspected brain metastasis or second primary malignancy that is clinically detectable at the time of consideration for study enrollment. * Active infection or other serious condition. * Pregnant or breastfeeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Best Overall Tumor Response | baseline to measured progressive disease (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment) | Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to Treatment Failure | baseline to stopping treatment | Defined as time from enrollment to the date of death due to any cause, measured disease progression, treatment discontinuation for undocumented progression, early treatment discontinuation for toxicity or other reason, or new anticancer treatment started. |
| Progression-Free Survival | baseline to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment) | Defined as the time from enrollment to the date of objective disease progression or death on study, whichever occurs first. Censoring was determined based on US-FDA 2005 draft guidance on clinical endpoints. |
| Duration of Response | time of response to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment) | Measured from the time of first documentation of complete response (CR) or partial response (PR), whichever status is first recorded, until the date of objective disease progression or death on study, whichever occurs first, with censoring defined in the same way as for progression-free survival. |
| Overall Survival Probability | baseline to date of death from any cause | Original outcome was overall survival = time from date of enrollment to date of death due to any cause. Survival time was censored at date of last contact for participants who were still alive or lost to follow-up. Because only 8 participants had documented death while on study, results are reported as 6- and 12-month overall survival probability. |
Countries
China
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Gemcitabine + Paclitaxel Gemcitabine: 1250 mg/m2, intravenous (IV), day 1 and day 8 every 21 days until disease progression.
Paclitaxel: 175 mg/m2, intravenous (IV), every 21 days until disease progression | 60 |
| Total | 60 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 2 |
| Overall Study | Death | 8 |
| Overall Study | Lost to Follow-up | 2 |
Baseline characteristics
| Characteristic | Gemcitabine + Paclitaxel |
|---|---|
| Age Continuous | 46.9 years STANDARD_DEVIATION 8.96 |
| Disease Stage at Study Entry Stage IIIB | 6 participants |
| Disease Stage at Study Entry Stage IV | 54 participants |
| Eastern Cooperative Oncology Group Performance Status 0 - Fully Active | 30 participants |
| Eastern Cooperative Oncology Group Performance Status 1 - Ambulatory, Restricted Strenuous Activity | 30 participants |
| Height | 160.3 centimeters STANDARD_DEVIATION 4.35 |
| Menopausal Status Missing | 2 participants |
| Menopausal Status Peri-Menopausal | 7 participants |
| Menopausal Status Post Menopausal | 22 participants |
| Menopausal Status Pre-Menopausal | 29 participants |
| Pathological Diagnosis Adenocarcinoma | 3 participants |
| Pathological Diagnosis Comedocarcinoma | 0 participants |
| Pathological Diagnosis Infiltrating Ductal Breast Carcinoma | 55 participants |
| Pathological Diagnosis Infiltrating Lobular Carcinoma | 0 participants |
| Pathological Diagnosis Missing | 1 participants |
| Pathological Diagnosis Undifferentiated Breast Carcinoma | 1 participants |
| Race/Ethnicity East Asian (Chinese) | 60 participants |
| Region of Enrollment China | 60 participants |
| Sex: Female, Male Female | 60 Participants |
| Sex: Female, Male Male | 0 Participants |
| Weight | 62.68 kilograms STANDARD_DEVIATION 9.518 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 59 / — |
| serious Total, serious adverse events | 1 / — |
Outcome results
Best Overall Tumor Response
Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment.
Time frame: baseline to measured progressive disease (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)
Population: All enrolled participants diagnosed with metastatic breast cancer, had measurable disease at baseline, and received at least one dose of study drug. Two participants were excluded from analysis because they received chemotherapy for locally advanced/metastatic breast cancer within 6 months prior to enrollment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Complete Response (CR) | 2 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Partial Response (PR) | 27 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Stable Disease (SD) | 20 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Progressive Disease (PD) | 7 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Early Death from Malignant Disease | 0 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Death from Toxicity | 0 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Early Death from Other Causes | 0 participants |
| Gemcitabine + Paclitaxel | Best Overall Tumor Response | Unknown | 2 participants |
Duration of Response
Measured from the time of first documentation of complete response (CR) or partial response (PR), whichever status is first recorded, until the date of objective disease progression or death on study, whichever occurs first, with censoring defined in the same way as for progression-free survival.
Time frame: time of response to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)
Population: Enrolled participants who were considered responders (had either a complete response or partial response).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Gemcitabine + Paclitaxel | Duration of Response | 5.6 months |
Overall Survival Probability
Original outcome was overall survival = time from date of enrollment to date of death due to any cause. Survival time was censored at date of last contact for participants who were still alive or lost to follow-up. Because only 8 participants had documented death while on study, results are reported as 6- and 12-month overall survival probability.
Time frame: baseline to date of death from any cause
Population: All enrolled participants. Fifty-two participants were censored.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Gemcitabine + Paclitaxel | Overall Survival Probability | 6-Month Overall Survival Probability | 97 percent |
| Gemcitabine + Paclitaxel | Overall Survival Probability | 12-Month Overall Survival Probability | 87 percent |
Progression-Free Survival
Defined as the time from enrollment to the date of objective disease progression or death on study, whichever occurs first. Censoring was determined based on US-FDA 2005 draft guidance on clinical endpoints.
Time frame: baseline to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)
Population: All enrolled participants. Forty-two participants were censored.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Gemcitabine + Paclitaxel | Progression-Free Survival | 7.6 months |
Time to Treatment Failure
Defined as time from enrollment to the date of death due to any cause, measured disease progression, treatment discontinuation for undocumented progression, early treatment discontinuation for toxicity or other reason, or new anticancer treatment started.
Time frame: baseline to stopping treatment
Population: All enrolled participants. Time to treatment failure for participants who are still participating in the study without treatment failure at the time of analysis will be treated as censored at thte date of the last tumor assessment (3 participants censored).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Gemcitabine + Paclitaxel | Time to Treatment Failure | 4.5 months |